| Woodside Medical | |
|
940 Old Warren Road Monticello AR 71655 | |
| (870) 224-4411 | |
| (870) 224-0925 |
| Full Name | Woodside Medical |
|---|---|
| Speciality | Internal Medicine |
| Location | 940 Old Warren Road, Monticello, Arkansas |
| Authorized Official Name and Position | Jim Carmical (PRACTITIONER) |
| Authorized Official Contact | 8702244411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodside Medical 940 Old Warren Road Monticello AR 71655 Ph: (870) 224-4411 | Woodside Medical 940 Old Warren Road Monticello AR 71655 Ph: (870) 224-4411 |
| NPI Number | 1629651955 |
|---|---|
| Provider Enumeration Date | 05/04/2021 |
| Last Update Date | 07/30/2021 |
| Medicare PECOS PAC ID | 3971909805 |
|---|---|
| Medicare Enrollment ID | O20210901001488 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629651955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Nina Deal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427578954 PECOS PAC ID: 6507137999 Enrollment ID: I20170803000695 |
| Provider Name | Jim Carmical |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194145607 PECOS PAC ID: 6103105119 Enrollment ID: I20171107000625 |
| Provider Name | Kelli L Tyler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093075079 PECOS PAC ID: 2860827441 Enrollment ID: I20200109001289 |
| Provider Name | Katelyn Carmical |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336534411 PECOS PAC ID: 9436412798 Enrollment ID: I20200603000019 |
| Provider Name | Morgan L Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255816062 PECOS PAC ID: 2961809892 Enrollment ID: I20210921000219 |
| Provider Name | Leah Olivia Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104592955 PECOS PAC ID: 7113324443 Enrollment ID: I20210929000400 |
| Provider Name | Arnold J Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326458902 PECOS PAC ID: 5496028433 Enrollment ID: I20221020002622 |
| Provider Name | Jessica M Pack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982319067 PECOS PAC ID: 7416313697 Enrollment ID: I20230512001202 |
Mmc2 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 733 Roberts Drive, Monticello, AR 71655 Phone: 870-367-6867 Fax: 870-367-1461 | |
University Of Arkansas At Monticello Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 663 University Drive, Monticello, AR 71656 Phone: 870-460-1058 | |
Jefferson Regional Monticello Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 906 Roberts Drive, Suite B, Monticello, AR 71655 Phone: 870-367-1461 | |
Drew Memorial Hospital, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 778 Scogin Dr, Monticello, AR 71655 Phone: 870-367-2411 Fax: 870-460-3562 | |
Monticello Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 535 Jordan Dr, Monticello, AR 71655 Phone: 870-367-6246 Fax: 855-926-7383 | |
Sheiron Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 733 Roberts Dr, Monticello, AR 71655 Phone: 870-367-3246 Fax: 870-367-3271 | |
Mainline Uam Behavioral Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 517 University Dr, Suite 201, Monticello, AR 71655 Phone: 870-367-6246 Fax: 855-926-7383 |